• J Clin Sleep Med · May 2014

    Case Reports

    Complex sleep apnea associated with use of nasal expiratory positive airway (nEPAP) device.

    • Amit Chopra, Piyush Das, Kannan Ramar, Bruce Staats, and Erik K St Louis.
    • Center for Sleep Medicine, Mayo Clinic, Rochester, MN.
    • J Clin Sleep Med. 2014 May 15; 10 (5): 577-9.

    AbstractComplex sleep apnea syndrome (CompSAS) is characterized by predominant obstructive sleep disordered breathing with evolution of central disordered breathing following exposure to nasal continuous positive airway pressure (CPAP) therapy in obstructive sleep apnea (OSA) patients. We report a case of CompSAS associated with use of a nasal expiratory positive airway (nEPAP, Provent) device. We therefore recommend obtaining objective sleep data to confirm treatment effectiveness of the nEPAP device for OSA prior to long-term prescription. Further research is warranted to understand the underlying pathophysiological mechanisms and risk factors associated with CompSAS.

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